Senior Provider Network Contracts Lead

Medica; Omaha (NE); On-site; USD 79,000 - 118,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision care

PTO

Holidays

401K contributions

Volunteer time off

Job summary

Medica, a nonprofit health plan, seeks a Provider Network Contractor III to lead development and negotiation of a comprehensive provider network across multiple regions. The role emphasizes affordability, regulatory alignment, and strong provider relationships.

The position requires 5+ years in healthcare contracting, excellent communication, and the ability to work onsite at select offices in MN, WI, NE, and MO. Medica offers a robust total rewards package and career growth opportunities.

Qualifications

• Bachelor's degree or equivalent in a related field.
• 5+ years of work experience in a healthcare environment.
• Experience with provider contracts and negotiations.

Responsibilities

• Develop, negotiate, and maintain a competitive provider network.
• Lead contract discussions with hospitals, physicians, and ancillary providers.
• Ensure contracts meet reimbursement standards, regulatory requirements, and internal controls.
• Analyze costs, utilization, and market data to support network decisions.
• Collaborate with legal, finance, and provider operations teams.

Skills

Provider contracting

Contract negotiation

Data analysis

Financial modeling

Relationship management

Education

Bachelor's degree or equivalent

Job description

Medica, a nonprofit health plan, seeks a Provider Network Contractor III to lead development and negotiation of a comprehensive provider network across multiple regions. The role emphasizes affordability, regulatory alignment, and strong provider relationships.

The position requires 5+ years in healthcare contracting, excellent communication, and the ability to work onsite at select offices in MN, WI, NE, and MO. Medica offers a robust total rewards package and career growth opportunities.